TY  - JOUR
PY  - 2017//
TI  - Sarcopenia and its relationship with falling among outpatients attending a geriatric and memory clinic at Kyorin University Hospital
JO  - Nippon Ronen Igakkai Zasshi
A1  - Tanaka, Masamichi
A1  - Nagai, Kumiko
A1  - Koshiba, Hitomi
A1  - Matui, Toshifumi
A1  - Kozaki, Koichi
SP  - 63
EP  - 74
VL  - 54
IS  - 1
N2  - AIM: The aim of the present study was to investigate the prevalence of sarcopenia in outpatients attending a geriatric and memory clinic and to investigate its relationship with falling. <br><br>METHODS: We investigated the prevalence of sarcopenia (according to the EWGSOP criteria) among 283 outpatients that were all ≥65 years of age, and who attended the geriatric and memory clinic at Kyorin University Hospital. We also examined comorbidities, CGA items, and fall-related measures, and analyzed the relationships between these factors and sarcopenia. <br><br>RESULTS: Seventy men (60.9%) and 88 women (52.4%) were diagnosed with sarcopenia. The sarcopenic men were older, had lower BMI values, and had a higher prevalence of dementia. The sarcopenic women had lower BMI values, and a higher prevalence of dyslipidemia. ASMI was not associated with walking speed or fall-related measures, whereas grip strength and walking speed were associated with each other and both were associated with fall-related measures. Ninety-one patients (32.2%) experienced a fall in the previous year. The prevalence of sarcopenia and ASMI among fallers and non-fallers did not differ to a statistically significant extent, whereas the fallers had lower grip strength and walking speed. A multiple logistic regression analysis revealed that weak grip strength in men and slow walking speed and the presence of diabetes in women were significant risk factors for falling. <br><br>CONCLUSIONS: The frequency of sarcopenia in outpatients attending the geriatric and memory clinic was higher than that in the community-dwelling elderly individuals. Falls were more related to the patients' muscle strength and walking speed than their muscle mass or the presence of sarcopenia itself.<p />  <p>Language: en</p>
LA  - en
SN  - 0300-9173
UR  - http://dx.doi.org/10.3143/geriatrics.54.63
ID  - ref1
ER  -